A Case of Acute Dystonia Induced by Metoclopramide

Yıl 2015, Cilt: 5 Sayı: 3, 62 - 64, 14.10.2015

Nesrin Yılmaz , Lütfü Hanoğlu

Öz

Metoclopramide is an antiemetic drug that antagonizes dopamine D2 receptors. Acute dystonia induced by metoclopramide is a rare disease which is more common in children, young women and patients with a positive family history. The history of the drug intake and typical clinical presentation are essential for the correct diagnosis. In this case, we would like to present a patient with metoclopramide induced acute dystonia that we were first confused about the diagnosis and that recurrent biperiden injections were effective for the therapy.

Anahtar Kelimeler

Dystonia, Biperiden, Metoclopramide

METOKLOPRAMİD KULLANIMINA BAĞLI GELİŞEN AKUT DİSTONİLİ BİR OLGU

Öz

Metoklopramid D2 dopamin reseptörlerini antagonize eden bir antiemetiktir. Metoklopramid kullanımına bağlı gelişen akut distoni; çocuklarda, genç bayanlarda ve aile öyküsü pozitif olanlarda daha sık görülen nadir bir hastalıktır. Doğru tanıyı koymak için ilaç kullanım anamnezi ve tipik klinik prezentasyonun olması gereklidir. Bu olguda ilk başta ayırıcı tanıda zorlandığımız, tedavisinde tekrarlayan biperiden enjeksiyonlarının etkili olduğu metoklopramid kullanımına bağlı gelişen akut distonisi olan bir vakayı sunmaktayız.

Anahtar Kelimeler

Distoni, Biperiden, Metoklopramid

Kaynakça

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